<?php
/* @var $this SpectacleRxNearController */
/* @var $model SpectacleRxNear */
/* @var $form CActiveForm */
?>

<div class="wide form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'action'=>Yii::app()->createUrl($this->route),
	'method'=>'get',
)); ?>

	<div class="row">
		<?php echo $form->label($model,'id'); ?>
		<?php echo $form->textField($model,'id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_pd'); ?>
		<?php echo $form->textField($model,'od_pd',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_sph'); ?>
		<?php echo $form->textField($model,'od_sph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_cyl'); ?>
		<?php echo $form->textField($model,'od_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_axis'); ?>
		<?php echo $form->textField($model,'od_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_prism'); ?>
		<?php echo $form->textField($model,'od_prism',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'od_add'); ?>
		<?php echo $form->textField($model,'od_add',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_pd'); ?>
		<?php echo $form->textField($model,'os_pd',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_sph'); ?>
		<?php echo $form->textField($model,'os_sph',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_cyl'); ?>
		<?php echo $form->textField($model,'os_cyl',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_axis'); ?>
		<?php echo $form->textField($model,'os_axis',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_prism'); ?>
		<?php echo $form->textField($model,'os_prism',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'os_add'); ?>
		<?php echo $form->textField($model,'os_add',array('size'=>5,'maxlength'=>5)); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'rx_id'); ?>
		<?php echo $form->textField($model,'rx_id'); ?>
	</div>

	<div class="row">
		<?php echo $form->label($model,'personalinfo_id'); ?>
		<?php echo $form->textField($model,'personalinfo_id'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton('Search'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- search-form -->